在前列腺癌中坚持荷尔蒙疗法
Jason Hafron1, Parjosh Sangha2, Tiffany Kung2
1William Beaumont School of Medicine, Corewell Health, Michigan Institute of Urology, Troy, Michigan.
Urology practice
|August 30, 2023
概括
一般来说,对前列腺癌激素治疗的坚持率很高. 口服疗法显示超过90%的坚持,而注射疗法需要严格的时间表来维持抑制,尽管relugolix允许短暂的中断.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 激素治疗是前列腺癌管理的基石.
- 引入口服抗雄激素剥夺疗法 (relugolix) 需要对坚持模式进行审查.
研究的目的:
- 为了比较口服和注射/植入性激素治疗前列腺癌之间的坚持率.
- 为了告知患者和医生关于治疗坚持的决策.
主要方法:
- 进行了全面的PubMed文献搜索.
- 包括的研究集中在前列腺癌中对激素治疗的坚持上,并结合了关于relugolix的数据.
主要成果:
- 口服抗雄激素坚持超过90% (药物持有率) 和75-91% (覆盖日数比例).
- 注射性安卓素剥夺治疗的坚持率从71%到95%不等,在某些情况下发现了显著的延迟.
- 药理动力学/药理动力学模型表明,长达7天的relugolix中断可以维持的抑制.
结论:
- 总体上,对前列腺癌激素治疗的坚持率很高.
- 持续的注射性安卓素剥夺疗法的剂量对于维持治疗疗效至关重要.
- 瑞卢戈利克斯提供灵活性,短期的治疗中断对抑制的影响最小.
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